NPI: 1457924748 · LITTLE NECK, NY 11362 · Dentist · NPI assigned 07/23/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 471 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 92 | 92 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 113 | 113 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 110 | 110 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 129 | 129 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 27 | 27 | $471.80 |